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<br />3301 Silver Lake Road, St. Anthony, Minnesota 55418-1699 • www.ci.saint-anthony.mn.us •(612) 782-3301 Fax (612) 782-3302 <br />Our mission is to be a progressive and livable community, a walkable village which is sustainable, safe and secure. <br /> <br />Traffic Study Request Form <br />Date:__________________ <br /> <br />Requested by (Name, Address, & Phone Number): <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br /> <br />Description of the Problem: <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br /> <br />Time of Day Problem Occurs: <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br /> <br />Requested Action of the City: <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br /> <br />Sketch intersection of roadway segment showing where the problem occurs: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Return form to City Hall <br /> 3301 Silver Lake Rd NE <br /> St. Anthony, MN 55418